Looking to Go to 650CC Implants? (photO)

650 mL is a very large breast implant. The picture shows a chest wall that should be able to support the size.

       650 cc implants are large and will thin the breast tissue more quickly and create droop more quickly.  As long as you realize these things, you can accommodate the larger size at this time.  Find a plastic surgeon with ELITE credentials who performs hundreds of breast augmentations and breast augmentation revisions each year.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.  Kenneth Hughes, MD Los Angeles, CA

Thank you for your photograph. I believe a larger implant will not increase the perkiness of your breast and over time the heaviness will cause the breasts to sag. It may be best to keep your current  implants and a bra to increase your cleavage and projection.

Dr. ES

All very valid questions/concerns but over the internet even with posted good photos very hard to give definitive advise. Best to obtain IN PERSON opinions from boarded PSs in your city. My opinion is the larger the implant, 650 cc HP or mod high profile, the lees a lifting you SHOULD need. Plus you can ALWAYS have a donut lift under local anesthesia after 3 months of healing if needed. 

650 cc implants are quite large.  If you have thin skin and some flaccidity heavier implants will cause the breasts to descend.

Time, weight and gravity are not on your side.  It appears that, at least for now, your soft tissue will support a larger implant and will achieve your goal of more fullness and some uplift to the nipple area.  A gel implant will feel a bit more natural and will not be as round as an equivalent saline filled implant. If you just want the perkiness and not a larger size then you would be a candidate for a breast lift.  There are always consequences to the choices we make be sure to understand both sides of the story. 

Thank you for the question and pictures. Based on your pictures and stated goals, I do not think that breast lifting will be necessary.

The best online advice ( in regards to best breasts in size/profile) I can give to ladies who are considering breast augmentation revisionary surgery is:


1. Concentrate on choosing your plastic surgeon carefully.  Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you're looking for. Ask to see lots of examples of his/her work.



2. Have a full discussion and communication regarding your desired goals  with your plastic surgeon. This communication will be critical in determining  breast implant size/type/profile will most likely help achieve your goals. 
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural”  or “C or D cup” etc means different things to different people and therefore prove unhelpful.
 Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup  size may also be inaccurate.



3.  Once you feel you have communicated your goals clearly,  allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals.  Again, in my practice, this decision is usually made during surgery.




I hope this, and the attached link, helps.

Do you really want to go larger?  If so, then the implant size would certainly work for you.  But if all you really want is more perkiness, the lift would work better, even with the scars.  And hopefully you have sized with external sizers to determine if the additional volume is 'too much' for your frame.

While a larger implant with a vertical lift is the most ideal from a breast shape standpoint, it would be understandable why you would want to avoid the scar. Essentially you are using a large implant to create more fullness, which it will do, but it will not move the nipple higher up on the breast mound. (only a lift can do that)